Concordia Foot and Ankle, LLC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

25MD003196000 Issued in NJ

Legal business name

CONCORDIA FOOT AND ANKLE, LLC

Practice address

1600 Perrineville Rd
Suite 24
Monroe, NJ 08831-4923

Phone

(609) 655-8200

Fax

(609) 655-8892

NPI assigned

Jun 15, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Justin Cohen, DPMNPI 1346671591

Title

Podiatrist

Phone

(609) 655-8200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Justin H. Cohen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe, NJ
  • NPI 1346671591

  Foot & Ankle Surgery, NJ

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1275914277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PERRINEVILLE RD",
            "address_2": "SUITE 24",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314923",
            "telephone_number": "609-655-8200",
            "fax_number": "609-655-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PERRINEVILLE RD",
            "address_2": "SUITE 24",
            "city": "MONROE",
            "state": "NJ",
            "postal_code": "088314923",
            "telephone_number": "609-655-8200",
            "fax_number": "609-655-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA FOOT AND ANKLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PODIATRIST",
        "authorized_official_telephone_number": "609-655-8200",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD003196000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Matthew Cogdill, ATC
• Aly Cohen, MD
• Justin H. Cohen, DPM
• Colleen M Coleman, M.D.
• Columbia Brothers Dental Group
• Christopher Corrigan
• Credence Home Care Services LLC
• Joseph Biagio Crisafi
• CTSX LLC
• Kimberly Patricia Cullen, M.S CCC-SLP

• All providers in Monroe, NJ
• Foot & Ankle Surgery Podiatrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.